SCOLIOSIS A NURSING OVERVIEW Ann S. Goodson, R.N.,MSN,ONC Nurse Coordinator Pediatric/Orthopedics
SCOLIOSIS- CLASSIFICATION IDIOPATHIC IDIOPATHIC CONGENTIAL CONGENTIAL NEURO-MUSCULAR NEURO-MUSCULAR MISCELLANEOUS MISCELLANEOUS
NATURAL HISTORY of SCOLIOSIS Scoliosis is a clinical sign
Tanner Staging
Risser Sign
Curve Patterns of Idiopathic Scoliosis
Idiopathic Scoliosis Risk of Progression
Non Surgical Management Observation Observation Bracing Bracing
SURGICAL TREATMENT
Congenital Scoliosis Vertebral Malformation
KYPHOSIS Congenital Kyphosis Congenital Kyphosis Scheuermann’s Disease Scheuermann’s Disease
TREATMENT Physical Therapy NSAID’sBracingSurgical
POSTURAL KYPHYOSIS “Round back” “Round back” Not Rigid Not Rigid Back ache Back ache Slouching Slouching
TREATMENT P.T. P.T. Exercises- Superman Exercises- Superman Sports Sports
NEUROMUSCULAR Cerebral palsy Cerebral palsy Muscular dystrophy Muscular dystrophy Myelomeningocele Myelomeningocele
MISCELLANEOUS Marfan Syndrome Marfan Syndrome Neurofibromatosis Neurofibromatosis Spine tumors Spine tumors Degenerative scoliosis Degenerative scoliosis
COMPLICATIONS COMPLICATIONS Spinal cord or nerve root injury Spinal cord or nerve root injury Infection Infection Pseudoarthrosis Pseudoarthrosis Crankshaft phenomenon Crankshaft phenomenon Implant failure Implant failure
SUMMARY SUMMARY Scoliosis is a diagnosis of exclusion Scoliosis is a diagnosis of exclusion Progression is related to growth in idiopathic and neuromuscular Progression is related to growth in idiopathic and neuromuscular Early diagnosis for brace treatment in idiopathic scoliosis- this is never a cure! Early diagnosis for brace treatment in idiopathic scoliosis- this is never a cure! Surgery is for large curves in growing children or progressive conditions Surgery is for large curves in growing children or progressive conditions
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